| NPI | 1801400361 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 227900000X Respiratory Therapist, Registered (Licence: PA YM012202) |
| Additional Taxonomies | 227800000X Respiratory Therapist, Certified (Licence: PA YM012202) |
| 227900000X Respiratory Therapist, Registered (Licence: 94813) | |
| Enumeration Date | 2020-09-02 |
| Last Update Date | 2020-10-13 |